Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISA RIVERSO, MD
ActiveMARISA RIVERSO, MD is a Pediatric Emergency Medicine healthcare provider located in GLEN MILLS, Pennsylvania. NPI 1972922664 is currently active in the NPPES registry. Verify at CMS.
Pediatric Emergency Medicine · GLEN MILLS, PA
Registration Details
- NPI Number
- 1972922664
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2014 (12.305076434348 yrs)
- Last Updated
- May 6, 2019
- Licenses
-
C1-0013071 (DE)MD461999 (PA)C1-0013071 (DE)MD461999 (PA)
Practice Information
- Address
-
101 APPLIED BANK BLVD STE 11GLEN MILLS, PA, 19342Browse PA providers · Browse ZIP 19342
- Phone
- 4848008630
- Fax
- 4848008635
- Primary Specialty
-
Pediatric Emergency Medicine
2080P0204X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatric Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.